VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1074655
Sex: F
Age: 61
State: MO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Multiple allergies including erythromycin, imitrex, insulin, latex, levaquin, neosporin, and penicillin.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient was complaining of chest tightness and increased heart rate around 15 minutes of receiving the vaccination. Was given 50 mg Bendadryl IM for treatment and patient was monitored for an additional 30 minutes. Symptoms were relieved upon patient exit.

Other Meds: Unknown

Current Illness: Unknown

ID: 1074656
Sex: F
Age: 24
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Shellfish and doxycycline

Symptom List: Anxiety, Dyspnoea

Symptoms: I got my Pfizer first dose today and it was fine at first, but four hours later I was slammed with incredible arm and shoulder pain. I have a really high pain tolerance (tore my meniscus 3x with no surgery or pain meds, wasn't too bad) and I'm 24F, not on any medications. I keep reading that sore arms are common, but this is a 6/7 on the pain scale. Putting on joggers was excruciating and I almost vomited. I can't even bring a glass to my mouth with that arm. Even laying as still as possible hurts. I cannot lift my arm past my pelvis and my shoulder is immobile. I feel nauseous when I move it. I haven't seen this experience anywhere so I am puzzled... I'm fully vaccinated w/ everything else and the closest to this was the tetanus shot, which hurt but not like - this - level of pain. I'm getting a bit concerned that the person who did it (in a hundred car drive thru) missed the deltoid and shot it into my shoulder?? It's VERY high on my arm. I believe in this vax 100% but I can't believe the pain I'm having and why it's not mentioned anywhere. Like I am so so grateful for this vax and am in awe of the science -- and everyone should get it -- but I just don't understand why I'm in literal excruciating pain :( Moving it even slightly feel like I'm ripping it from the bone. It?s now been 20 hours and the pain is worse than ever, even breathing, sneezing or bending over causes searing pain.

Other Meds: Nexplanon implant

Current Illness: None

ID: 1074657
Sex: F
Age: 51
State: CT

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: 11:33 AM: Reported generalized pruritis, worst to face/head/neck. Severe dizziness/lightheadedness reported. Patient reported similar sensation of itching, feeling of impending doom/"about to pass out" previously with shellfish allergy. Exam notable for: Alert but drowsy appearing, seated slouched in chair. +Erythema and edema to ears bilaterally; macular erythema to face over cheeks. Tongue WNL. Lungs CTA= bilaterally. 11:34 AM-- Epipen 0.3 mg administered R vastus lateralis. Well tolerated. 911 called Post administration 11:35 AM: , BP 146/86, HR 88/minute. Lungs CTA= bilaterally. Continue reports of lightheadedness. 11:40 AM tranferredcare to EMS; patient transported to closest emergency department

Other Meds:

Current Illness:

ID: 1074658
Sex: M
Age: 27
State: MO

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: KNA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt reports Vaccination on Friday, Fatigue on Saturday, Rash starting on full body rash starting on Sunday that presented as dry flaky red lesion to his entire body and has continued to progress slowly with no oral involvement

Other Meds: Fluoxetine, Montelukast, Zyrtec, Fluticasone, QVAR

Current Illness: None

ID: 1074659
Sex: F
Age: 68
State: NY

Vax Date: 02/25/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pt describes 1 week post vaccination waking up with left sided neck pain extending to arm as well as left side swollen gland neck.

Other Meds: Vitamin D

Current Illness: No

ID: 1074660
Sex: F
Age: 34
State: MO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NSAID's Aspirin

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Low grade fever (38 to 39 degree Celsius) Chills Muscle & joint pains Easy fatigability Nausea Loss of appetite Triggered my asthma - I'm on Seretide 1 to 2 puffs PRN

Other Meds:

Current Illness:

ID: 1074661
Sex: F
Age: 67
State:

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: achy flu like symptoms, bad headache, chills temp 101-103.6

Other Meds: calcium iron Vit D

Current Illness: none

ID: 1074662
Sex: F
Age: 59
State: CA

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa medications (hives) Nortryptaline ( long Qt) Cyproflixine ( heart rhythm /rate changes)

Symptom List: Pharyngeal swelling

Symptoms: Muscle aches and pains Fever mild Diarrhea prolonged 36 hours

Other Meds: Losartan Omeprazole Fluticasone propionate Azelastine hydrochloride Vitamine D Cetirizine hydrochloride

Current Illness: None Blood pressure stable

ID: 1074663
Sex: F
Age: 37
State: CO

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Some redness/tenderness at injection site about a few hours after recieving vaccine, which resolved over next couple days. a couple days later, developed red, warm, tender, golfball size, very firm area around where vaccine was injected. This persisted for several days, with the middle of the area blanching to a pale color with a red ring around it. Hot compresses, cold compresses, oral benadryl and topical benadryl seemed to have no effect on area. Contacted my doctor in case this was something that needed to be treated with antibiotics. They recommended Claritin which I did take and it seemed to help, or else it was resolving on its own at that point as the area had been there for four days already.

Other Meds: Vitamin D 5000iu daily

Current Illness: none that I was aware of

ID: 1074664
Sex: F
Age: 60
State: WI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unknown

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient described to this PHN fever, chills, very sore arm starting the night after receiving the injection. Soreness in arm continued for 3 weeks, on and off. Sometimes it felt like deep bone pain, she described as excruciating. Sometimes woke her at night. Did not occur every day. Some arm swelling. The injection was given at where she works. This PHN did not give the vaccine, but patient called to inform of reaction. We were going to complete this form together, but patient decided she'd do herself. I am not certain she will, so am sending the info I was told. She received 2nd injection 3/1/2021. Side effects seem less vigorous, by report, so far this time.

Other Meds: unknown

Current Illness: diagnosed by positive PCR with Covid-19 on 01/04/2021

ID: 1074665
Sex: M
Age: 45
State: NC

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Unknown

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Complaint of "tingling" and "feeling" of edema in lips. Patient subsequently went to the bathroom to see if his lips were swollen and they were not. Paramedic reported that the patient expressed anxiety about injections/needles and this may have contributed to perceived adverse effects. Patient asked for Benadryl and was given 25 mg po x 1.

Other Meds: Unknown

Current Illness: Unknown

ID: 1074666
Sex: F
Age: 41
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: CODEINE

Symptom List: Rash, Urticaria

Symptoms: PT C/O RACING HEART AT 12:22. PT LATER STATED SHE FEELS BETTER

Other Meds: MULTIVITAMIN

Current Illness: N/A

ID: 1074667
Sex: F
Age: 54
State: MD

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: nkda

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: patient presented to hospital for heart palpitation in SVT 180-190's. Patient had no light headness or dizziness. Patient was cardioverted and improved. Discharged 2/18. Per EAU, hospitalizations are to be reported irrespective of attribution to the vaccine

Other Meds:

Current Illness:

ID: 1074668
Sex: F
Age: 36
State: MA

Vax Date: 02/18/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penacillin Reaction to Flu shot Intolerance to dairy and eggs

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Hives formed on Face. Raised flesh Looking welts with red around edges, very itchy. No hx of hives besides 20 years ago after receiving penacillin

Other Meds: Birth control

Current Illness: None

ID: 1074669
Sex: F
Age: 40
State: ID

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Redness at injection site that gradually moved down the arm. Itchy at times. Took 4-5 days to clear.

Other Meds: Omeprazole

Current Illness:

ID: 1074670
Sex: F
Age: 48
State: VA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Prozac

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: 12/30/2020 vaccination By 5:30, red at injections site. Couple days, arm swelled, red, hot to the touch. Went to Dr because I believed I had cellulitis. Symptoms lasted 2 weeks. I still have red welt on arm. Dr. put me on antibiotic thinking it was cellulitis. But by next morning the rash has spread. The doctors then said it was immune response to vaccine.

Other Meds: linzess 290 mg, 40 mg Ativan

Current Illness: n/a

ID: 1074671
Sex: F
Age: 85
State: MI

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/05/2021
Hospital: Y

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Generalized weakness to the extent she could not walk unassisted or speak clearly. Fatigue Incontinence (perhaps as result of weakness and fatigue) bowel and bladder not usual in this individual.

Other Meds: Metforma, insulin, diltiazem, elequis, hydrozyurea, ASA, Fosamax, namenda, aricept, seroquel,

Current Illness:

ID: 1074672
Sex: F
Age: 81
State: IL

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Entire body ached, headache, felt warm, dizzy

Other Meds: Amlodipine, Losartan, Metoprolol Tartrate, Magnesium

Current Illness: Adenocarcinoma of appendix

ID: 1074673
Sex: F
Age: 34
State: MO

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: NSAID's Aspirin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Low grade fever (38 to 39 degree Celsius) Chills Muscle & joint pains Easy fatigability Nausea Loss of appetite Triggered my asthma - I'm on Seretide 1 to 2 puffs PRN

Other Meds:

Current Illness:

ID: 1074674
Sex: F
Age: 67
State: TN

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies: Pt denied any known allergies.

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Pt received vaccination approximately @ 1340 on 03/03/2021. She then reported to the post vaccination holding area for observation. At 1345 pt alerted staff to the sensation of tingling and numbness in throat and lips this was followed by difficulty swallowing. Pt was given 0.3mg EPI and 0.5mg diphenhydramine IM and symptoms started to resolve. Pt was transported via EMS to local Emergency Room for continued observation.

Other Meds: Medications were not declared at time of immunization

Current Illness: Pt denied any current illnesses.

ID: 1074675
Sex: F
Age: 70
State: TX

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No know food allergies Allergic to codeine

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Onset of chills and fever approximately 24 hours after injection. Temperature went to 100.1. Fever broke during the night but is still low grade the following morning. Fatigue and slight headache the following day.

Other Meds: Pravastatin 40mg - once a day, Levothyroxin 1mg - once a day, Multi vitamin, Vitamin E - 400IU, Omega 3, B complex, Folic acid, 80 mg aspirin - all once a day

Current Illness: None

ID: 1074676
Sex: F
Age: 27
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Dairy intolerance

Symptom List: Unevaluable event

Symptoms: 26 hours after injection of shot #1, the arm that received the injection became red from upper shoulder to the forearm. The rash was red, hot to the touch and very itchy. Rash was most concentrated in an oblong red welt in the middle of my upper arm, though not surrounding specific injection site. Symptoms are improving but ongoing 8 days after injection and have been treated intermittently with OTC hydrocortisone cream.

Other Meds: Vitamin D supplement

Current Illness:

ID: 1074677
Sex: F
Age: 51
State: RI

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Erythromycin, Sulfa, Penicillin, Doxycycline

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: 17 hours after 2nd vaccine administration developed fever(101.0), severe muscle pain(mostly legs and back), Chills, Insomnia, Nausea, Headache, arm pain (injection site). After 48 hours nausea, headache, vertigo(dizziness) lack of apatite, fatigue. Injection site itchiness, continues 72 hours after vaccination.

Other Meds: levothyroxine, biotin, B12 probiotic, collagen supplement

Current Illness: none

ID: 1074678
Sex: F
Age: 72
State: AZ

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Body aches, Headache, Fever of 100.4. Took 2 Tylenol. Still Fever of 99.8 6 hours later. Took 2 more Tylenol.

Other Meds: Lisa Ryan Potassium, Pioglitazone, Doxycycline Hyclate

Current Illness: None

ID: 1074679
Sex: F
Age: 65
State: MD

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: nkda

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient presented 2/17 with left side bells palsey, left sided facial droop, facial paresthesia and diffuse headache. No acute findings on CT or MRI. Patient discharge 2/18. , hospitalizations are to be reported irrespective of attribution to the vaccine

Other Meds:

Current Illness:

ID: 1074680
Sex: F
Age: 47
State: MD

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: gluten and dairy intolerance

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Fever 38.6'C for first 24 hours, then 37.1 for the following 2 days Severe headache lasting 4 days after vaccination, Shortness of breath on day 5, 7 and 9 lasting the whole day. Arm swelling, pain and redness, fatigue. Overall symptoms lasted a little over a week.

Other Meds: none

Current Illness: none

ID: 1074681
Sex: M
Age: 61
State: MA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache/Fatigue set in about 1 hour after my second does of the Pfizer vaccine. It only lasted for about an hour. Rest helped alleviate the symptoms.

Other Meds:

Current Illness:

ID: 1074682
Sex: F
Age: 45
State: MO

Vax Date: 01/22/2021
Onset Date: 02/10/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa, Bananas, Cantaloupe, Avacado

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I received my first dose on 12/23/20. 2 weeks after my first dose I had a mild rash on my back with a discolored appearance to it. It went away. I did not think it was from the vaccine because it had been two weeks from the time I had it. I received my second vaccine on 1/22/21. I now have the exact same rash back but much darker and it itches quite a bit more. I decided to have it checked. I went to emergency room/urgent care. The NP stated she felt it was vaccine related and gave me a prescription for Steroids. She told me to let her know if it got worse or did not go away. I attached an image of the rash I obtained after the second dose.

Other Meds:

Current Illness:

ID: 1074683
Sex: F
Age: 65
State: FL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penecilin, Doxiciline

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Client c/of heartburn and dryness to back of throat. Client seen and assessed by EMT and Vitals are: B/P 156/90, HR 89, O2 99. Client continued being monitored for30 min. and cleared by EMS after she stated that she no longer felt sensation.

Other Meds: Atenolol

Current Illness: None

ID: 1074684
Sex: M
Age: 67
State: IN

Vax Date: 02/01/2020
Onset Date: 02/13/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Fever headache fatigue sore arm

Other Meds: Levemir. Metformin . losartin

Current Illness: None

ID: 1074685
Sex: F
Age: 68
State: WI

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Cherry-dietary, fentanyl, Influenza Virus Vaccine, Lisinopril, Macrobid, Naproxen, NSAIDs, Percocet 5/325, Percodan, Pravastain

Symptom List: Injection site pain

Symptoms: 30 minutes post vaccination, patient's voice was hoarse, face flushed, appeared restless. Patient was coughing and clearing throat. Fluids were offered and patient was moved to a more private area, vitals were taken. Pulse ox 96% RA, blood pressure was elevated, HR was 86 bpm. Rapid response team was notified and took the patient to the hospital's emergency department.

Other Meds: Aspirin low dose 81mg, Vitamin D3 2000, Magnesium gluconate 250 mg, Pantoprazole 40 mg, Docusate qDay, Doxazosin 2 mg, Simvastatin 20 mg, Ezetimibe 10 mg, Synthroid 100 mcg, ProAir HFA 90 mg/inh, Hydrocortisone 2.5%

Current Illness:

ID: 1074687
Sex: F
Age: 73
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA or foods or other products

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Started with mild headache, mild nausea, then pounding, bounding pulse of about 80 (my resting is usually 60) THIS WAS THE SYMPTOM THAT MOST CONCERNED ME AS I HAVE A DILATED ASCENDING THORACIC AORTA) chills intermittent on first day required heat, blankets, 2nd day (yesterday) chills were intermittent throughout the day; a feeling of "foggy brain", fatigued muscles especially thighs, aching joints, aching muscles, unable to fix a meal or to stand for long, considered calling for help, but no fever, no breathing difficulty, just rested, slept off and on 17 hours first day, yesterday normal sleep, today feel fine, so glad this has resolved! My adult disabled son had NO symptoms for first or second shot. I had no symptoms at FIRST shot. This SECOND ONE WAS A DOOZY!

Other Meds: Multi Vitamin Ashwaghanda Vit D Baby aspirin glucosamine with chondroitin

Current Illness: None

ID: 1074688
Sex: M
Age: 57
State:

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Patient complained of hives on his face, treated with Benadryl and Tylenol. Complains rash exist one week after vaccination

Other Meds:

Current Illness:

ID: 1074689
Sex: F
Age: 51
State: KY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Developed phantosmia immediately following shot 1. I smelled cigarette smoke 24 hours a day. It got slightly better then the phantosmia got worse. I have been smelling smoke for 53 days now. I also developed 2 large nodes in my left clavicle area. Same side as shots. I had to have an ultrasound and 1 was suspicious so now have to have an MRI. I have been to an ENT and my PCP who feel this was caused by the vaccine.

Other Meds:

Current Illness:

ID: 1074690
Sex: F
Age: 53
State: MO

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: soy liquid codeine

Symptom List: Erythema, Pruritus

Symptoms: Friday evening - overall not feeling well and low grade fever, soreness at injection site Saturday - backs of legs hurt really a great deal, fever 101.7 - 102, all over aches, pain at injection site, pain was severe with touch, chills, fever, aches and headache all day and evening. Overnight severe sweating (most likely fever breaking), chills, and body aches. Sunday/ Monday - low grade fever, bad headache when standing or sitting without head resting on pillow and fatigue. Tuesday severe fatigue slept most of day on and off low grade fever and headache in evening. Wednesday - light headache and fatigue. evening legs ached and very low grade fever. Thursday - tired feeling all day

Other Meds:

Current Illness:

ID: 1074691
Sex: F
Age: 31
State: MI

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: Zithromax, iodine, peanuts, sea salt

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Very swollen, red, warm to touch at injection site. Very itchy as well. Now 21 days later still red and skin looks as if very dry and flaky

Other Meds: Isobloom, fluoxetine

Current Illness: N-a

ID: 1074692
Sex: F
Age: 67
State: TX

Vax Date: 02/23/2021
Onset Date: 03/01/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: codeine

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: I noticed itching at the injection site first about 6 to 7 days after the shot; it was then that I noticed the area was red about 3" by 2"; it remains itchy and red at 11 days after the vaccination. I'm using Cortisone cream for the itch; it is slightly uncomfortable.

Other Meds: Vitamin/mineral supplement, Ibuprophen

Current Illness: none

ID: 1074693
Sex: U
Age: 87
State: SC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Aches, chills, red swollen and very itchy injection site which lasted a full week. Took alleve, rested. Very tired all week.

Other Meds: Alleve, taken at 7:00 p.m.

Current Illness: None

ID: 1074694
Sex: F
Age: 76
State: PA

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin, erythromycin, tetracycline, sulfa, cipro

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: On the 9th day (Fri., 2/19) after my shot I developed a very intense rash all over my stomach, and on the underside of my breasts. It was very itchy. I considered the possibility that it was the seafood soup I had eaten, but all day I also had very bad pains in my lower back, left hip, and left knee. I had knee surgery in August, but this pain was much worse than I'd had in months. The pain and rash continued thru the next day Sat., 2/20. Then on Sunday the pain was completely gone, and the rash started to subside. Then the following weekend (2/27 and 2/28) the rash had a mild flare-up, and there's mild itching off and on since them.

Other Meds: Atenolol 12.5 mg

Current Illness:

ID: 1074695
Sex: F
Age: 32
State: PA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: almonds, all tree nuts, strawberries, apples, and seasonal allergies

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: 3/2/21 8: 45am ball in throat, about 20 minutes later tingling sensation in face and lips, swelling of face and eye, ear pain/ear fluid. Throughout the past couple days still experience ball in throat at times, swelling of face and eyes.

Other Meds: Allegra, Fluticasone, Valtrex

Current Illness: none

ID: 1074696
Sex: F
Age: 76
State: MA

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: allergic to sulfa medications, no other allergies

Symptom List: Pain in extremity

Symptoms: on 2/16/21 began to have chills in late afternoon persisting into evening. oral Temperature at bedtime averaged 99.6 persisted with decreasing chills by 2/28/21 Please note that received 2nd dose of pfizer on 3/1 and symptoms of chills, inc temperature returned along with nausea thru most of the day on 3/3/21

Other Meds: Lisinopril 2.5 mg, Tylenol 325 mg xs,

Current Illness: none

ID: 1074697
Sex: F
Age: 72
State: TN

Vax Date: 02/19/2021
Onset Date: 02/24/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Severe joint and muscle pain through out entire body. Barely able to walk and stand up. Feeling not well and nauseous. Also redness and severe pain in left shoulder at injection site.

Other Meds: losartan:celebrex

Current Illness: none - arthritis only

ID: 1074699
Sex: F
Age: 79
State: KS

Vax Date: 02/23/2021
Onset Date: 03/02/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Demerol, Sutures, Tape

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: CLIENT AWOKE 3/2 WITH SORENESS TO THE INJECTION SITE THAT EXTENDED ACROSS HER BACK AND SHOULDERS ACCOMPANIED BY INTERMITTENT NAUSEA. THIS MORNING (3/5) SHE WOKE UP TO THE LEFT HALF OF HER FACE SWOLLEN.

Other Meds: Metoprolol, Prolesta, Losartan, Vitamin A, Vitamin D, ASA,Zirithamide, Novolog 70/30

Current Illness: NONE

ID: 1074700
Sex: F
Age: 61
State: OK

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Multiple (29); No hx of vaccine related reaction

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: shortness of breath, erythema to forearms, itching to palmar surfaces and perioral Tx: 50mg diphenhydramine IM, transfer to ED, predisone, solu-medrol, & Pepcid IV Discharged to home with instructions to return if sxs recur

Other Meds: dilatiazem, clonapin, potassium, hydrocodone, synthroid, B-12, tizanidine, singular, Vit. D

Current Illness: Hypothyroidism, HCN, hyperthyroidism, ASD of aorta, COPD, asthma, colon polyps, GERD, neuritis, chronic pain, cervical spondylosis, Anxiety, iron deficiency anemia, mastocytosis

ID: 1074701
Sex: F
Age: 56
State: LA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Propylene Glycol ALL GLYCOL Alcohol Epinephrine latex sulfa drugs Black Pepper Mite Oats Coconut and anything coconut derived formaldehyde Oak Pollen Ragweed Soy Coffee Walnuts Blueberries propranolol Bactrim Macrobid doxycycline tetracycline sodium extended naproxen spiders fire ants aloe mold any phenols and fragrances metoprolol succinate Montelukast tizanidine nickel dexamethasone pregavilin artificial sweeteners pecans almonds

Symptom List: Vomiting

Symptoms: within a minute of receiving the vaccine I started feeling dizzy and woozy and like I was floating. Then my blood pressure went up and my heart started beating faster. I had tightness in my chest and I got a tickle like feeling at the top of my chest. I got nauseous. BP was elevated (140/85) normal 107/65. I stayed for an hour. I was very very sleepy the whole time. 3/5/21 I still have the tickle and tightness and pressure on my chest and I am having vertigo attacks. I got a headache and pain and stiffness in my neck where I have had nerve pain injections and ablations.

Other Meds: Phem ring testosterone levothyroxine iron supplement similasan Baclofen (haven't taken in a month and only take it as needed) Clonazepam

Current Illness: NO

ID: 1074702
Sex: F
Age: 57
State: GA

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severe dizziness and overwhelming fatigue lasting 1 week

Other Meds: none

Current Illness: none

ID: 1074703
Sex: F
Age: 62
State: OH

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: many sensitivities to drugs, etc. Over reaction vs general population. Labeled Medication sensitive. Recent inflammatory reaction to petroleum based topical prescription drug preparations.

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: 8 hours after getting the vaccine I started feeling very cold. It came on me all of a sudden. Shaking, shivering, teeth chattering ensued along with generally feeling very unwell. (Similar to how I felt years ago after having surgery) This progressed during the night to fever, chills, extreme body aches, stabbing pains in the head, heart racing, dizziness and nausea. After 12 hours I started to feeling improvement. At the 16 hour mark I am really tired and nauseous but feel like I'm coming back. Probably the worst I've ever felt. We considered going to the ER in the night.

Other Meds: topical tacrolimus (very small smear), diclofenac sodium, magnesium, b6, calcium, fish oil capsule, d3

Current Illness: no other illness

ID: 1074704
Sex: F
Age: 24
State: MD

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Ginger and Mango allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I had no immediate reactions to the vaccine. About an hour after my injection I developed a low grade headache. The next day, 2/26, I woke at 7am with a headache still. The headache and fatigue worsened through the day (2/26/21). Around 3:00pm I started experiencing waves of dizziness. By 4pm I had begun experiencing temporary loss of feeling in various body parts. Each part's loss of feeling came and went separately and lasted about 2-5 minutes each. I experienced this in my left facial cheek, both wrists and hands, and my right hip. I had a coworker drive me home and by 5pm I had a migraine with severe sinus/head pressure and a fever of 99.4. My average resting body temperature is 97.4. I slept from 6:00pm friday till 10:30am on Saturday (2/27). When I woke I still had a headache, but no longer a migraine. I spent 2/27 dizzy, weak, and achy but no more episodes of lack of feeling in body parts or a fever. I have not experienced soreness in the arm I got my injection in, but I noticed on Tuesday March 2nd that I my injection site is very swollen, red and itchy. The swelling and redness (to my knowledge) has not gotten worse or better since then, but the itching has gotten worse and the actual puncture wound is now visible since yesterday (3/4) whereas it was not visible anytime before that.

Other Meds: Adderall, Viibryd, Valtrex/Valacyclovir, Mirena IUD, Iron supplement, B complex supplement, D3 supplement,

Current Illness: N/a

ID: 1074705
Sex: F
Age: 51
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NKDA

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: PT C/O LOCALIZED PARESTHESIA IN LEFT UPPER EXTREMITY NEAR VACCINATION SITE AND LIGHT HEADEDNESS. AFTER A 3-5 MINUTES, PT STATED THAT HER SYMPTOMS HAD PARTIALLY RESOLVED. SHE WAS REHYDRATED WITH GATORADE. SHE WAS A/O X3. SYMPTOMS COMPLETELY RESOLVED BEFORE THE PATIENTLEFT. PT ADVISED TO F/U WITH HER PCP.

Other Meds: VITAMIN D3 ZYRTEC NASONEX LEXAPRO

Current Illness: NONE

ID: 1074706
Sex: M
Age: 65
State: MO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Patient started experiencing dizziness, blurred vision, a "rush", increased blood pressure, feeling hot, tingling in arms, and appeared flushed. Occurred approx. 15 minutes after vaccination. Patient was given water and a snack and was told to take deep breaths. Blood pressure was monitored and returned to normal before patient exit. Patient was assisted by wife. No medications were given.

Other Meds: Unknown

Current Illness: Unknown

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm